Individual provider · Type 1 NPI

Carol Klak, OTR

Occupational Therapist · De Pere, WI

NPI number 1164548731 Active

Practice location

1142 Orlando Dr
De Pere, WI 54115-9484

Call (920) 339-0700 Map

Fax (920) 330-0278

Mailing address

3121 Crusade Ln
Green Bay, WI 54313-4303

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X1491-026 (WI)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1164548731

Carol Klak, OTR's National Provider Identifier is 1164548731, issued on Mar 22, 2007. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in De Pere, WI. The record was last updated on Jul 8, 2007.